Note: Texas Medicaid managed care organizations (MCOs) must provide all medically necessary, Medicaid-covered services to eligible clients. Administrative procedures such as prior authorization, precertification, referrals, and claims/encounter data filing may differ from traditional Medicaid (fee-for-service) and from MCO to MCO. Providers should contact the client's specific MCO for details.
Beginning April 7, 2022, occupational therapist enrollments in Texas Medicaid now includes group enrollments with occupational therapists and performing providers within an occupational therapist group. Occupational therapists may also choose to continue to enroll individually.
Provider enrollment applications are to be submitted using the Provider Enrollment and Management System (PEMS).
For more information, call the TMHP Contact Center at 800-925-9126 or the TMHP-CSHCN Services Program Contact Center at 800-568-2413.